Heather B Haley, CNM | |
1105 Burleyson Rd, Dalton, GA 30720-3181 | |
(706) 278-4640 | |
Not Available |
Full Name | Heather B Haley |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 1105 Burleyson Rd, Dalton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134624455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN217338 (Georgia) | Secondary |
367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary |
Entity Name | Careconnect Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063436624 PECOS PAC ID: 7810980794 Enrollment ID: O20040406001286 |
Entity Name | Houston Physician Specialists, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265189476 PECOS PAC ID: 6800172461 Enrollment ID: O20170413001281 |
Mailing Address | Practice Location Address |
---|---|
Heather B Haley, CNM 105 Jw Plaza Dr Se Ste 1, Calhoun, GA 30701-1503 Ph: (706) 278-4640 | Heather B Haley, CNM 1105 Burleyson Rd, Dalton, GA 30720-3181 Ph: (706) 278-4640 |
Ms. Sanna Rose Wagner, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1525 Chattanooga Rd, Dalton, GA 30720 Phone: 706-226-3373 Fax: 706-226-0845 | |
Mrs. Susan Cockburn, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1105 Burleyson Rd, Dalton, GA 30720 Phone: 706-278-4640 Fax: 706-275-6599 | |
Elizabeth Jean Day, C.N.M. Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1525 Chattanooga Rd, Dalton, GA 30720 Phone: 706-226-3373 Fax: 706-226-0845 | |
Lauren Elizabeth Banaszak, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1105 Burleyson Rd, Dalton, GA 30720 Phone: 706-278-4640 | |
Mrs. Joellen Wingate, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1105 Burleyson Rd, Dalton, GA 30720 Phone: 706-278-4640 Fax: 706-275-6599 | |
Amy Elizabeth Van Orden, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1525 Chattanooga Rd, Dalton, GA 30720 Phone: 706-226-3373 Fax: 706-226-4256 | |
Rita-marie Davis, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1105 Burleyson Rd, Dalton, GA 30720 Phone: 706-278-4640 Fax: 706-275-6599 |